Prior Auth Required

21125 - Mandibular augmentation , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMandibular augmentation , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Mastopexy 19316 All Malar augmentation 21270 All Mandibular augmentation 21125, 21127 All Midface Flap or Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle 15730, 15733 All Otoplasty 69300 All

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.